2027 ICD-10-CM Diagnosis Code Z55.8Other problems related to education and literacy
Z55.8 is a billable ICD-10-CM diagnosis code for other problems related to education and literacy. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Socioeconomic/psychosocial factors.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z55.8.
Present on Admission (POA)Billing
Z55.8 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Absenteeism
- Absenteeism from school
- Degree of interruption to education - finding
- Difficulty performing educational activities
- Dismissal from school
- Dissatisfaction with school environment
- Education interrupted
- Educational problem
- Employment problem
- Excluded from school
- Excluded from school temporarily
- Finding related to ability to perform educational activities
- Frequent changes of school
- Inadequate digital access
- Inadequate digital access affecting education
- Inadequate digital literacy skills
- Inadequate digital literacy skills affecting education
- Inadequate digital literacy skills affecting employment
- Inadequate digital literacy skills affecting health care
- Inadequate foundation level digital literacy skills
- Intentional non-attendance at school
- Left school free will
- Medically unfit to take examination at school
- No formal education
- Number of changes of school - finding
- Only received primary school education
- Primary school started but not finished
- Qualifications failed
- School attendance poor
- School maladjustment
- School refusal
- Sex education problems
- Unable to attend school due to illness
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z55.8: its own notes plus those printed at Z55 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Problems related to inadequate teaching
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z55.8, its category, or a range that includes it.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert Z55.8 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z55.8Overview
What is the ICD-10 code for other problems related to education and literacy?
The ICD-10-CM code for other problems related to education and literacy is Z55.8 (sometimes written as Z558). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z55.8 (Problems related to education and literacy) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other problems related to education and literacy on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z55.8 group to?
On inpatient claims, other problems related to education and literacy maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z55.8 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because other problems related to education and literacy describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z55.8 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other problems related to education and literacy on inpatient claims. The code appears in the Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65) range of the CMS exempt list.
